Plan Ledger DOL Form 5500 · updated monthly

Polyfab, LLCbenefits

Polyfab LLC Wrap Plan · SHEBOYGAN, WI · plan year 2023

Broker compensation reported · 2023
$37,430

Polyfab, LLC's benefits plan covered 119 active participants in 2023, providing health · dental · vision · life · death benefits · long-term disability · short-term disability. Insurance brokers and agents were paid $37,430 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $315 per covered person, above the median for employer plans that report broker pay.

Insurance contracts · 20234
BLUE CROSS BLUE SHIELD OF WISCONSIN · dental visionpremiums n/a · 131 covered
COMPCARE HEALTH SERVICES INSURANCE CORPORATION · healthpremiums n/a · 131 covered
ANTHEM LIFE INSURANCE COMPANY · life std ltdpremiums n/a · 109 covered
STANDARD INSURANCE COMPANY · life std ltdpremiums n/a · 108 covered
Brokers & agents paid · 20232
M3 INSURANCE SOLUTIONS INC$6,478 · incl $1,747 fees
M3 INSURANCE SOLUTIONS, INC.$30,952 · incl $630 fees
Also brokered by M3 Insurance Solutions Inc5

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 391151695 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.